Consulate Healthcare Of Williamsburg - Williamsburg Nursing Home
General Information
UPDATEFederal Provider Number
495190
Provider Name
CONSULATE HEALTHCARE OF WILLIAMSBURG
Provider Address
1811 JAMESTOWN ROAD
WILLIAMSBURG, VA 23185
WILLIAMSBURG, VA 23185
Provider Phone Number
(757) 229-9991
Provider SSA County
470
Provider County Name
James City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLIAMSBURG FACILITY OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-05-10
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.90977
Reported LPN Staffing Hours per Resident per Day
1.25920
Reported RN Staffing Hours per Resident per Day
0.60862
Reported Licensed Staffing Hours per Resident per Day
1.86782
Reported Total Nurse Staffing Hours per Resident per Day
3.77759
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17069
Expected CNA Staffing Hours per Resident per Day
2.53600
Expected LPN Staffing Hours per Resident per Day
0.66357
Expected RN Staffing Hours per Resident per Day
1.15414
Expected Total Nurse Staffing Hours per Resident per Day
4.35370
Adjusted CNA Staffing Hours per Resident per Day
1.84779
Adjusted LPN Staffing Hours per Resident per Day
1.57502
Adjusted RN Staffing Hours per Resident per Day
0.39403
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49750
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
15
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
72.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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